TEST BANK MEDICAL-SURGICAL NURSING CRITICAL THINKING IN CLIENT CARE, 4TH EDITION PRISCILLA LEMONE, KAREN M. BURKE ALL CHAPTERS COVERED QUESTIONS AND ANSWERS GRADED A+ 100% VERIFIED.

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CRITICAL THINKING IN CLIENT
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CARE 4TH EDITION PRISCILLA
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LEMON
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Test Bank for Medical-Surgical Nursing Critical
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Thinking in Client Care, 4th Edition Priscilla
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Chapter 1


1. The nurse is caring for four clients on a medical–surgical unit. Which client should the
nurse see initially?

1. A client admitted with hepatitis A who has had severe diarrhea for the last
24 hours
2. A client admitted with pneumonia who is has small amounts of yellow
productive sputum
3. A client admitted with fever of unknown origin (FUO) who has been
without fever for the last 48 hours
4. A client admitted with a wound infection whose WBC is 8,500 mm3

Answer: 1

Rationale: The nurse must decide which client should be seen on the initial rounds of the
day. The nurse must remember that the first client to be seen should be the client
who needs the attention of the nurse initially. A client with hepatitis A does
experience diarrhea, but diarrhea for the last 24 hours could cause the client to
have a problem with dehydration and experience a state of fluid volume deficit.

Cognitive Level: Application
Client Needs: Safe, Effective Care Environment
Nursing Process: Planning


2. The nurse is preparing to administer influenza vaccines to a mass drive-through clinic.
Which statement by a client would indicate further questioning prior to giving the client
the influenza vaccine?

1. “I am allergic to horse hair.”
2. “I try to get my vaccine every year.”
3. “I am not allergic to anything except eggs.”
4. “My husband had a severe allergic reaction after he received his influenza
vaccine.”

Answer: 3

Rationale: Influenza vaccines are recommended for person at high risk for serious
sequelae of influenza. The nurse should be aware that client with a sensitivity to
eggs should not receive the vaccine. Vaccines prepared from chicken or duck
embryos are contraindicated in clients who are allergic to eggs.




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Thinking in Client Care, 4th Edition Priscilla
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